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WAPCOS limited
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.:'Annex - If
TRAVELLING ALLOWANCE BILL

Name: Age :__ yrs.. Cb.argeable Project

------------------------- Code: /
Designation : _ Division / Centre: --t.! _
Basic Pay :, _

I, ITINERARY
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Departure Arrival I Remarks it any I
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From - Date I Time At Date I Time ._-
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2. DETAILS OF ACTIVITIES ON TOUR

Daysl Activities performed ISite visits I Meet~ngs

Date
!

*Attach separate sheet, if required.

Achievements / Recommendations / Action to be taken and Time Frame:

Telephone Nos. of key officials met during the tour:

3, AMOUNT CLAIMED

a) AirlRail/Bus fare
From To I Mode Class I Ticket No. Fare Charges I
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Total Amount elF' _

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Fro 'II uverieaf
Total Amount B/F . _

b) Road Mileage (Under normal TA Rules)

----+I---'--=----!--I I
From I To
~-=
Distance in K.M. Rate Rs

c) Daily Allowance (as per itinerary)

Place of halt No.

Days
of Composite
Claim
Split Claim Total (Rs.) I
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Daily Lodging Daily I
Allowance Charges Allowance

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Note: Lodging charges under split rate are admissible only on production
I of receipt.

d) Any other Expenses including local conveyance, telephone etc.

(a) .
(b) .

. (c)
(d)
Total Claim (a + b + c + d) : --=- _
Less Advance Drawn Rs. _

3 Name of the Nominee and Address

Net Amount Payable / Recoverable Rs. _

4. Certified that
1. The above activities! works are actually performed by me.
2. The date and time given in this bill are correct
3. T NDA for the period covered in this bill has neither been claimed from any other
source nor I have made any claim previously on this account
4. Free boarding/Lodging was not provided by the Company/Clients.
5. The entire foreign exchange, if any. issued to me has been utilized or the unutilized
foreign exchange has Deen surrendered by me through WAPCOS.

Dated signature of the claimant

Verified by CElGM
Approved for Rs.

Controlling Officer Pre-audited by Finance Approving Authority

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